超过一半的肩部接种疫苗可能会最终到达下部空间
Halah Kutaish1, Pierre-Alban Bouché1, Paolo Miguel Rivera2
1Division of Orthopaedic and Trauma Surgery, Geneva University Hospitals, Geneva, Switzerland.
NPJ vaccines
|November 11, 2025
概括
标准的疫苗注射针可能太长,导致与疫苗接种相关的肩部损伤 (SIRVA). 建议使用较短的针头,以防止下注射,并尽量减少风险.
科学领域:
- 整形外科 整形外科 整形外科
- 免疫学 免疫学 免疫学
- 医疗器械 医疗器械
背景情况:
- 与疫苗接种相关的肩部损伤 (SIRVA) 包括下囊炎,结的肩部和肌病.
- 这些损伤可能是deltoid肌肉内免疫的结果.
研究的目的:
- 为了评估针头过度透到下空间的发生率,在deltoid肌肉内免疫.
- 确定与针过度穿透相关的因素,并评估标准针长度的充分性.
主要方法:
- 177名接受关节镜肩部手术 (2022-2024) 的患者的回顾性分析.
- 评估用于亚穿透所需的针头长度.
- 统计分析患者特征 (BMI,体重,骨厚度,脂肪厚度) 与针过度穿透之间的关联.
主要成果:
- 平均针的长度为25.36毫米是需要的亚穿透.
- 针过度穿透发生在51.9%的病例中.
- 在过度透和更高的BMI,体重,骨厚度,脂肪厚度和综合测量之间发现了显著的关联 (p < 0.05).
结论:
- 标准针的长度 (例如25.36毫米) 对许多成年人来说看起来太长,增加了SIRVA的风险.
- 对大多数成年人来说,修订疫苗接种指南,建议使用更短的针头 (例如15毫米),可以防止腹下注射.
- 实施较短的针头可以确保正确的疫苗输送到deltoid肌肉,并最大限度地降低SIRVA风险.
相关概念视频
Muscles of the Shoulder
8.6K
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
8.6K
Muscles that Move the Arm
4.6K
Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
4.6K
Ultrasonography
7.3K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
7.3K
Bones of the Upper Limb: Humerus
6.8K
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
6.8K
Arteries of the Upper Limbs
2.1K
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
2.1K


